| Regimental number | 13 |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Irene Vivian, 42 Fort Street, Petersham, New South Wales |
| Enlistment date | 27 April 1917 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
